{"ID":5676788,"CreatedAt":"2026-07-03T03:29:23.032456456Z","UpdatedAt":"2026-07-07T01:06:03.009715918Z","DeletedAt":null,"paper_url":"https://arxiv.org/abs/2607.02428","arxiv_id":"2607.02428","title":"Self-Auditing Residual Drifting for Pathology-Preserving Accelerated Knee MRI","abstract":"Accelerated magnetic resonance imaging reduces acquisition time, but reconstruction from undersampled k-space can blur diagnostically relevant structures or introduce failures that are not captured by global image metrics. We propose SA-RDM-DC, a Self-Auditing Residual generative Drifting Model with Data Consistency for accelerated knee MRI. The method adapts the newly proposed generative drifting paradigm to accelerated MRI by training a physics-conditioned drift field from the zero-filled reconstruction toward the fully sampled residual correction. It predicts image- and missing-k-space residual corrections, enforces data consistency with acquired k-space, uses frequency-aware and residual drifting supervision to recover fine detail, and produces dense error maps and slice-level risk scores in the same inference pass. We evaluate SA-RDM-DC on multi-coil fastMRI knee data at acceleration factors of 4, 8, and 12, with fastMRI+ pathology annotations for region-level and classifier-based task preservation, and on SKM-TEA for zero-shot and fine-tuned protocol-shift evaluation. Compared with zero-filled reconstruction, UNet-image-SENSE, DC-UNet, Score-Diffusion, ELF-Diff, SENSE-VarNet, and MoDL baselines, SA-RDM-DC achieves the highest SSIM across fastMRI acceleration factors while retaining subsecond per-slice inference and avoiding the long sampling time of iterative diffusion baselines. In pathology-aware analysis, SA-RDM-DC preserves lesion-region structural fidelity and reduces meniscus prediction instability. Its self-auditing scores strongly identify high-error reconstructions on fastMRI and partially transfer as a selective-review signal under SKM-TEA protocol shift. These results support reconstruction evaluation that jointly considers image fidelity, pathology preservation, runtime, and case-specific reliability.","short_abstract":"Accelerated magnetic resonance imaging reduces acquisition time, but reconstruction from undersampled k-space can blur diagnostically relevant structures or introduce failures that are not captured by global image metrics. We propose SA-RDM-DC, a Self-Auditing Residual generative Drifting Model with Data Consistency fo...","url_abs":"https://arxiv.org/abs/2607.02428","url_pdf":"https://arxiv.org/pdf/2607.02428v1","authors":"[\"Qing Lyu\",\"Jianxu Wang\",\"Mohammad Kawas\",\"Ge Wang\",\"Christopher T. Whitlow\"]","published":"2026-07-02T16:59:03Z","proceeding":"eess.IV","tasks":"[\"eess.IV\",\"cs.CV\",\"physics.med-ph\"]","methods":"[\"Diffusion Model\"]","has_code":false}